Individual
ADITI ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Mailing address
9010 WATERCREST CIR W, PARKLAND, FL 33076-2692
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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